Question

ll cricket 1:53 PM 6% Overview Incivility is endemic in nursing. This dilemma identifies the most common uncivil behaviors that students may experience from nurses in the clinical setting and how to respectfully address this if experienced. This activity will empower students to be the needed change so a culture of civility that honors and respects the differences of others can be realized in the nursing profession. Clinical Dilemma Activity: STUDENT Nurse to Student Incivility I. Scenario History of Present Problem: Cindy Benner is a 21-year-old nursing student who is in the third year of her baccalaureate program at a local state university. She is an excellent student and is excited to pursue her dream and passion to become a professional nurse. She has enjoyed clinical learning and is excited to begin a new rotation on the medical unit at a local hospital. She has completed pre-clinical prep and introduces herself to Jennifer, the primary nurse of her patient. Jennifer looks at her and rolls her eyes. She gives a quick report to Cindy, does not maintain eye contact, and promptly hurries down the hall, stating she has to get to work or she will get behind. What data from the histories is important & RELEVANT; therefore it has elinical significance to the nurse? RELEVANT Data from Present Problem Clinical Significance I. The Dilemma Begins... Current Concern: Cindy completes her initial assessment of her patient, a 68 year-old woman who presented to the hospital with a ruptured appendix and is now post-operative day one. Her temperature has increased to 101.2 (last recorded was 99.5), her heart rate is 98 (last recorded was 76) and her x2015Keithis 98/60 (last recorded was 120/66). Cindy just had a RASeheweww.eihepsis and the inflammatory response. Though an RReatory response is expected after surgery, the instructor emphasized that systemic inflammatory response syndrome (SIRS) is an

Answer 1

I. What data from the histories is important and relevant

Relevant data from the present problem	Clinical significance
The student is new to the medical unit	It limits the activities of the student.
Risk of lack of clinical experience	Lack of experience increases the stress on the students.
Negative opinion of the primary nurse	Negativity shows the unprofessionalism of the nurse.

II. What data from the current concern is important and relevant:

Relevant data from the current concern	Clinical significance
Primary nurse is not believing the student's assessment	It is against the school policy.
Nurse fails to recheck the patient	It shows her unprofessional clinical practice.

III. Resolving the dilemma:

1. The primary nurse fails to believe the student's assessment and to recheck the patient's condition whereby she can avoid the critical situation.

2. The student needs additional information about the patient's past medical history, current medication, and blood report to confirm the diagnosis.

3. The student can utilize the primary care physician of that particular unit or the surgeon with the help of the faculty member in this situation.

4. Managing and treating the patient's condition is the priority.

5. The student should approach the physician to treat the patient with appropriate antibiotic therapy and vasopressor.

6. Stabilizing of vital signs and normal blood reports indicates that the intervention is effective.

7. The student feels embarrassed at this situation.

8. The uncivil behavior demonstrated by the staff nurse is unprofessional, and unethical to her clinical practice.

9. It hurts me and feels worried about my future expectations.

10. Patient's clinical condition is the utmost importance. Take it as seriously if the patient or family members or student informing about the clinical status of a patient. Always be professional to the clinical practice.